Archive for January 25th, 2011

Appendix: Healthcare Reform – Abandoning the Self Employed

Appendix for

Healthcare Reform – Abandoning the Self Employed

By Michael Collins

I.  Tax breaks to very small business

The tax provisions of the health care act were supposed to help very small businesses afford insurance for their employees.  It appears that the tax breaks will lose their utility about the time that  they expire.  While they offer initial savings, premium increases wipe out the benefits of the tax cut in year three using the 20% per year increase and year four using the 15% premium increase.

From:   Summary of Small Business Health Insurance Tax Credit Under PPACA (P.L. 111-148) Congressional Research Service, April 5, 2010
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Healthcare Reform – Abandoning the Self Employed

Michael Collins

Before it ever arrived at the president’s desk for signature, the health reform act contained a fatal poison pill.

The most creative sector of the business community has a dagger at its heart in the form of the relentless, unyielding, and over burdening cost of health insurance.  The self-employed and very small businesses have seen their insurance premiums climb 20% to 75% since 2009.  To purchase an adequate family plan, a self-employed person will pays an amount 50% to 70% of the nation’s median personal income, $32,000 a year, for family health plan. This includes premiums, deductibles, and out of pocket expenses.  That is twice the cost for relatively generous plans at medium to large size companies.  Very small businesses, two to twenty employees, pay about the same  (Image: Paul Henman)

Wasn’t health reform supposed to take care of just this sort of inequity?  Didn’t the title of the bill say it all?  The Patient Protection and Affordable Health Care Act There is no protection for the self-employed when they have these stark choices facing them due to unaffordable insurance rates.  They can give up working for themselves; buy adequate insurance and take a huge hit to income; buy a substandard plan and hope that whatever comes up is covered; or, abandon insurance at real risk to their health and, in some cases, their lives.
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